CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Chester County Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $24
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Chester County Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.79x the Medicare baseline. Located in 701 East Marshall Street, West Chester, PA.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$13.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13.39 (100%)
Cash / Self-Pay: $65 (485%)
Insurance Median: $24 (179%)
Cash: $65 (485% of Medicare)
Ins. Median: $24 (179% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13.39 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Cigna $8 - $65 60%
UnitedHealthcare $11 - $20 82%
Hospice Vna $13 97%
Medicare (plans) $13 - $14 97%
Primecare Medical $13 97%
Va Medical Center $13 97%
Aetna $14 - $38 105%
Clover Health Plan $14 105%
Devoted Health $14 105%
Gateway $14 - $17 105%
Health Partners $14 - $65 105%
Humana $14 105%
Medicaid / KanCare $14 - $65 105%
Pa Health And Wellness $14 - $22 105%
Keystone First Vip Choice $15 112%
Mva Insurance $15 112%
Pgm - Regie De L'Assurance Maladie Quebec $15 112%
Tricare $15 112%
Us Family Health Plan $15 112%
Keystone First $18 134%
Todays Option $18 134%
Elap $19 142%
Preferred Health Care Eliance $20 149%
Claims Watcher $21 - $24 157%
Oscar Health Plan $23 172%
Pgm - Kuwait Defense $23 - $29 172%
Centivo $24 179%
Healthamerica/Coventry $24 179%
Elap Services $25 187%
Qualcare $25 187%
Pgm - Chop $26 194%
Highmark $28 209%
Penn Global Medicine $35 261%
Pgm - Royal Embassy Of Saudi Arabia $39 291%
Geisinger Health Plan $42 314%
Pgm - Embassy Of Qatar $42 314%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $42 314%
Pgm - Embassy Of The United Emirates/Ipc $46 344%
Pgm - Kuwait Health Division $52 388%
Pgm - Kuwait Oil $52 388%
Preferred Health Care $52 388%
Intergroup $55 411%
Olympus $57 426%
Ibc $62 - $65 463%
Keystone Hmo Proactive $62 463%
International Pfs $65 485%
Medrisk $65 485%
Not Adjusted $65 485%
Workers Compensation $65 485%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 East Marshall Street, West Chester, PA 19380
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals